American College of Surgeons Committee on Trauma has listed a number of criteria for when a trauma surgeon should participate in the management of pediatric trauma in the Emergency Department.



(1) age-specific hypotension

(2) respiratory compromise or obstruction, need for intubation

(3) Glasgow Coma Score <8 attributed to trauma

(4) penetrating gunshot wound to neck, chest or abdomen

(5) transfer from another hospital AND blood transfusion to maintain vital signs

(6) physician decision



• Criterion 4 could be modified to include all penetrating trauma.


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